HomeMy WebLinkAboutSub-Contractor Agreement'I -
PERMIT# ISSUE DATE
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• 71
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Divisions
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT['
';L have agreed to be
( ompa y.Name/Indivldual Name)
,
the �-eCA�'i u"L_ Sub -contractor fore
(Type of Trade) (Primary Contractor)
For the project located at Q t _ U Q, `
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation. with the above mentioned
project, the Building and Code Regulation Division of. St. Lucie County will be advised pursuant to the
filing of a Change of
notice.
L4
ONTRACTOR SIGNATUR ` ualifie
v" f \2 -- `
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of b i V
The foregoing instruments was signed before me this St day of
V c5 \ , 20 , by
who is personally knownVor has produced a `
as identification.
STAMP
Signature of Notary Public
Pot E A LUZ VELASCO
Print Name of Nota =99
EXPIRES November 28. 2020
Revised 11/16/2016
.7vD-'.vxv i KAUIUK MUNAATUR�E(\'(Qu�aljifier))
e_
PRINT NAME
�Z r1- L_
COUNTY CERTIFICATION NUMBER
State of Florida, County of -A—Luu
The foregoing instrument was signed before me this P day` of
by Lac
who is personally known _or has produced a
as identification.
Signature of Notary P
STAMP
MA BE 4,LA UZ VELASCO
MY 1 O N PGp399
Print Name 6f.Ngtarl P'A __ 28, 2020